Post-Influenza Dizziness: When to Seek Medical Attention? - Neurology

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Dizziness after influenza?


Hello, doctor.
Last week, I contracted influenza B and took Relenza.
On the third day after the onset of the illness, I experienced dizziness, which subsided when I lay down to rest.
Today is the eighth day (I have finished the Relenza), and while the other respiratory symptoms have improved, I still have some phlegm accumulation and a slight urge to vomit, and the dizziness has not improved.
When I returned for a follow-up, the doctor mentioned that this is a typical symptom of influenza B.
I am continuing to take general cough suppressants and bronchodilators.
Additionally, my menstrual period is about to start right after the flu has ended.

Is the dizziness solely related to the flu? (Is the flu not resolved?) If it is related to the flu, how many days should I expect it to improve? Should I continue to wait and rest, or should I make an appointment at a major hospital for an examination? If I need to make an appointment, should I see a specialist in respiratory medicine or neurology?

oo, 20~29 year old female. Ask Date: 2016/04/13

Dr. Jiang Junyi reply Neurology


Hello, based on your description, there are many factors that can cause symptoms of dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance.
Since your symptoms appeared after the flu, it may be important to first rule out side effects from medications or symptoms caused by dehydration leading to insufficient cerebral circulation.
You can improve your symptoms by replenishing fluids, vitamin B complex, and electrolytes.
I recommend discussing your condition with a neurologist for further evaluation and treatment.
Wishing you good health and peace.
Dr.
Tao, Shen Nei, cares about you.

Reply Date: 2016/04/13

More Info


Post-influenza dizziness can be a concerning symptom, especially when it persists beyond the typical duration of the flu. In your case, having experienced dizziness on the third day after contracting B-type influenza and now, on the eighth day, still feeling dizzy despite other symptoms improving, warrants careful consideration.

Firstly, dizziness can indeed be a symptom associated with influenza. It may arise from several factors including dehydration, fatigue, or even the body’s response to the viral infection itself. The fact that lying down alleviates the dizziness suggests that it might be related to positional changes or perhaps a mild vestibular disturbance, which can occur during viral infections.

However, since you mentioned that the dizziness has not improved and is accompanied by residual symptoms such as phlegm accumulation and a feeling of nausea, it is essential to evaluate whether there are other underlying issues. The flu can sometimes lead to secondary infections, such as sinusitis or bronchitis, which could contribute to ongoing symptoms. Additionally, the timing of your menstrual cycle could also influence your symptoms, as hormonal changes can affect fluid balance and contribute to feelings of dizziness.

Given that your dizziness persists, it is advisable to seek medical attention. While your doctor has indicated that this is a typical symptom of B-type influenza, the lack of improvement after several days suggests that further evaluation may be necessary. You should consider visiting a healthcare provider, preferably one who specializes in respiratory issues or neurology, depending on the nature of your dizziness. If you experience any additional symptoms such as severe headache, visual disturbances, or changes in consciousness, you should seek immediate medical attention.

In terms of timing, if your dizziness does not improve within the next couple of days, or if it worsens, it would be prudent to schedule an appointment with a healthcare professional. They may conduct a thorough examination, possibly including blood tests or imaging studies, to rule out other causes of dizziness such as inner ear issues, dehydration, or even complications from the flu.

In summary, while dizziness can be a common symptom of influenza, persistent dizziness warrants further investigation. It is advisable to monitor your symptoms closely and seek medical attention if they do not improve or if you develop new symptoms. Your health and well-being are paramount, and it is always better to err on the side of caution when it comes to persistent or concerning symptoms.

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